Pre-Certification Coordinator

The Pre-Certification Coordinator provides support to the surgical poster in communicating with the insurance companies to ensure proper certification/authorization is obtained prior to surgery as well as the communication and pre-collection of the patient’s financial responsibility. Primary duties include obtaining verification of insurance coverage and authorization for clinical visits and surgical procedures. This role also alerts Surgical Posters and Site Managers of scheduling errors and consistently pre-certs all procedures on assigned physician's schedules 2 weeks in advance, including ASC procedures, office injections, and hospital procedures. The coordinator alerts appropriate staff of financial responsibilities, communicates patient financial responsibility to the patient prior to the appointment, documents required information, and scans referrals into the EMR.